PMC ISLA HEALTH SYSTEM (NPI# 1275920316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275920316 |
| Entity Type | Organization |
| Organization Name | PMC ISLA HEALTH SYSTEM |
| Practice Address |
177-c Chalan Pasaheru Tamuning GUAM 96913 AX |
| Practice Telephone | 6716476201 |
| Practice Fax Number | 6716470045 |
| Mailing Telephone | 6716476201 |
| Mailing Fax Number | 6716470045 |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |
| Authorized Official Name | DR. CHRIS DOMBROWSKI (PHYSICIAN) |
| Authorized Official Telephone | 6716476201 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | MOO1035 | GU | Ambulatory Health Care Facilities |
| Street Address |
177-C CHALAN PASAHERU |
| City | TAMUNING |
| State | GUAM |
| Zip Code | 96913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126219 | Hannah Marie Sabo Laney | Behavior Technician | 212 Farenholt Ave., Tamuning, GU 96913 | 2020-02-13 |
| 1720618499 | Jacquelin Gouniai | Counselor | 121 North Sabana Drive Detcha Court, Barrigada Heights, GU 96913 | 2020-01-22 |
| 1205475753 | Gabriela Victoria Perez | Behavior Technician | 212 Farenholt Ave, Tamuning, GU 96913 | 2020-01-02 |
| 1073154944 | Quenie-mei Tuliao Fisher | Pharmacist | 790 Governor Carlos Camacho Rd, Tamuning, GU 96913 | 2019-10-02 |
| 1366090698 | Elizabeth Rabon | Technician | 251 Carnation Ave, Mangilao, GU 96913 | 2019-08-29 |
| 1467000299 | Yun Ming Lin | Pharmacist | 850 Gov. Carlos Camacho Street, Tamuning, GU 96913 | 2019-08-26 |
| 1902465354 | Anthony John Litwinchuk Jr. | Audiologist | Usnh Guam - Audiology Department, Bldg #50 Farenholt Ave, Agana Heights, GU 96913 | 2019-06-10 |
| 1124580600 | Khkn Corporation | Acupuncturist | 817 N Marine Corps Dr 109, Tamuning, GU 96913 | 2019-04-03 |
| 1700346541 | Amc Mental Health, LLC | Marriage & Family Therapist | 263 Vietnam Veterans Highway, Mangilao, GU 96913 | 2019-03-20 |
| 1295292365 | Jhaymie Lynn Salarzon Bejerana | Behavior Technician | Building 1350 #216, Upper Tumon, GU 96913 | 2019-02-26 |
| Find all providers in zip 96913 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184660045 | Health Services & Management Inc. | Clinic/Center | 177c Chalan Pasaheru, Tamuning, GU 96913-4127 | 2006-06-21 |
| 1275586877 | General Conference Corp of Sda | Clinic/Center | 388 Ypao Rd, Tamuning, GU 96913-3701 | 2006-05-18 |
| 1356330724 | Vik Management, Inc | Clinic/Center | 590 S Marine Dr, Suite 126, Tamuning, GU 96913-3507 | 2005-10-19 |
| 1265421630 | Vik Management, Inc | Clinic/Center | 416 Chalan San Antonio, Tamuning, GU 96913-3601 | 2005-10-19 |
| 1487907234 | Guam Geriatrics Clinic | Clinic/Center | 633 Gov Carlos G Camacho Rd, Ste. 205, Tamuning, GU 96913-3194 | 2012-10-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.